DR. JOHN H BENNER MD
NPI 1114960564
Orthopaedic Surgery in West Chester, PA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
69.18/100
CMS Quality Rating
915 OLD FERN HILL RD, SUITE 1 B-A, WEST CHESTER, PA 19380(610) 692-6280(610) 429-1943 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John H Benner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN H BENNER MD (NPI 1114960564) is an individual orthopaedic surgery provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD015472E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chester County Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1973).

NPPES Registry Identity

NPI1114960564
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN H BENNERCredential: MD
Location Address915 OLD FERN HILL RD, SUITE 1 B-AWest Chester, PA 19380-4269
Mailing Address915 Old Fern Hill Rd, Suite 1 B-aWest Chester, PA 19380-4269 · (610) 692-6280 · Fax (610) 429-1943
Fax(610) 429-1943
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1973
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 27, 2009
NPI 1114960564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MD015472E
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
915 OLD FERN HILL RD, West Chester, PA 19380

Other Identifiers 4

Medicare PIN025388D6QPA
Medicaid0711540PA
Medicare PIN025388NU9PA
Medicare UPINB33524

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John H Benner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648230979
PECOS Enrollment IDI20081223000026
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
1,952 services27 patients
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
1,200 services14 patients
Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331
Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.
980 services13 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
615 services209 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
533 services307 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
530 services404 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.74
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
4%1,061 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
97%2,709 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
39%1,014 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,929 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 70% · 1,547 patients
Patients screened: 71% · 1,547 patients
25%32 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%143 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,060 patients
Patients totalRate: 0% · 1,060 patients
0%1,060 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$30.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
915 OLD FERN HILL RD, BLDG., B SUITE 202
WEST CHESTER, PA 19380
Nurse Practitioner
915 OLD FERN HILL RD, BLDG D, SUITE 600
WEST CHESTER, PA 19380
Physical Therapist
915 OLD FERN HILL RD, BUILDING A, SUITE 4
WEST CHESTER, PA 19380
Physical Therapist
915 OLD FERN HILL RD, SUITE 4
WEST CHESTER, PA 19380
Internal Medicine (Cardiovascular Disease)
915 OLD FERN HILL RD, BLDG. A SUITE 5
WEST CHESTER, PA 19380
Ophthalmology
915 OLD FERN HILL RD, BUILDING B STE 200
WEST CHESTER, PA 19380
Optometrist
915 OLD FERN HILL RD, BUILDING B, SUITE 200
WEST CHESTER, PA 19380
Internal Medicine
915 OLD FERN HILL RD, FERN HILL CAMPUS-BUILDING A-SUITE 3
WEST CHESTER, PA 19380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Benner's NPI number?

The NPI number for John Benner is 1114960564. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is John Benner located?

John Benner practices at 915 Old Fern Hill Rd Suite 1 B-A, West Chester, PA 19380. The listed phone number is (610) 692-6280.

What is John Benner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Benner enrolled in Medicare?

Yes. John Benner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Benner accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list John Benner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Benner affiliated with any hospitals?

According to CMS data, John Benner is affiliated with Chester County Hospital.

When was this NPI record last updated?

The NPPES record for John Benner was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.